CAJ | 학술논문

目的：了解小儿Burkitt淋巴瘤的临床特点。方法：对该院2012年12月～2013年9月收治的3例以腹痛为首发症状的小儿Burkitt淋巴瘤病史资料进行回顾性分析。结果：该组病例患儿年龄6-13岁，均为男性，病变多位于回盲部，胃、十二指肠肿瘤1例，胰腺、肾脏常可累及。临床表现以腹痛、肠梗阻、肠套叠为主。1例患者经内镜活检病理检查确诊，2例由术后病理检查确诊。结论：以急腹症为首发症状，不易与炎症性肠病鉴别是本组小儿Burkitt淋巴瘤特点之一。内镜活检和手术标本的病理学检查是目前确诊小儿Burkitt淋巴瘤主要依据。
목적：료해소인Burkitt림파류적림상특점。방법：대해원2012년12월～2013년9월수치적3례이복통위수발증상적소인Burkitt림파류병사자료진행회고성분석。결과：해조병례환인년령6-13세，균위남성，병변다위우회맹부，위、십이지장종류1례，이선、신장상가루급。림상표현이복통、장경조、장투첩위주。1례환자경내경활검병리검사학진，2례유술후병리검사학진。결론：이급복증위수발증상，불역여염증성장병감별시본조소인Burkitt림파류특점지일。내경활검화수술표본적병이학검사시목전학진소인Burkitt림파류주요의거。
Objective:To analyze the clinical characteristics of juvenile Burkit lymphoma. Methods:Al three cases of Burkit lymphoma admit ed in our hospital from December of 2012 to September of 2013 were col ected and analyzed retrospectively. Results:The age of the patients who al were males enrol ed in this study ranged from 6 to 13 years. The lymphoma mainly occurred in the ileocecal junction, stomach and Duodenal neoplasms 1 case, might occur in the pancreas and kidney. The main clinical manifestations were abdominal pain, complicated by intestinal obstruction or invagination. The tumor was presented as multiple ulcers in 2 patients or a mass in 1 patient during the endoscopy or operation. Conclusion:In this study, patients with juvenile Burkit lymphoma, which are difficult to be differentiated from IBD endoscopical y. The clinical manifestations are acute abdomen firstly. The definite diagnosis depends on the pathological examination of endoscopic biopsy specimens or surgical specimens.